Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Manhattan Facial Plastic Surgery and Ear Nose & Throat Professional

Organization Otolaryngology/Facial Plastic Surgery Physician · NPI 1609484492

Manhattan Facial Plastic Surgery and Ear Nose & Throat Professional is an Otolaryngology/Facial Plastic Surgery Physician in New York, New York. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

400 E 20th St Ste 3F
New York, NY 10009
Phone: (212) 381-6110
Fax: (212) 381-6110
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Otolaryngology/Facial Plastic Surgery Physician (primary) Taxonomy 207YX0905X

Record details

NPI number1609484492
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Diane Williams — Credentialing Consultant · (570) 801-1847
NPI enumeratedJuly 17, 2020
Last updated in NPPESJanuary 12, 2021
Certification dateJanuary 12, 2021
Mailing address400 E 20th St Apt 3f, New York, NY 10009-8105

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